远程医疗的影响

随着冠状病毒大流行的爆发, healthcare professionals pivoted to serving more patients online than ever before, 通过远程医疗. 在大流行之前的几年里, the percentage of patients using telehealth services steadily increased to 0.2020年2月所有医生/患者就诊人数的8%. April 2020 saw the largest percentage of telehealth visits comprising 52% of all doctor/patient visits. This 52% was a 6,400% increase in the baseline from February 2020.[1] The number of patients using telehealth services has leveled off to between 13% and 17%, 根据专业, 截至2021年7月.[2] The increase in the use of telemedicine is causing some to wonder how much space medical office users will need in the long run.

根据麦肯锡的一项研究 & 公司, the overall adoption of telehealth is about 17%.  Practice types vary in the percent of uptake of telehealth. Below are some of the specialty types with the highest share of telehealth claims per total outpatient and office visit claims as of February 2021:

  • 精神病学- 50%
  • 药物使用和疾病治疗- 30%
  • 内分泌学- 17%
  • 风湿病学- 17%
  • 胃肠病学- 13%
  • 神经医学- 13%

Some of the specialty types with the lowest share of telehealth claims per total outpatient and office visit claims as of February 2021 were:

  • 眼科- 2%
  • 骨科- 2%
  • 普通外科- 4%
  • 神经外科- 4%
  • 中毒/药物中毒- 7%

In general, there are more healthcare visits in-person than 通过远程医疗 channels. 截至2021年6月, the modality of patient appointments was between 70 and 84% in-person, excluding psychologist visits that saw only 37% in-person visits and 63% via telephone/telehealth.[3]

采用远程保健的情况因地区而异. 根据Chartis Group的一项研究, the average adoption of the use of telehealth by healthcare providers was 7% in Indiana, 14%在密歇根, 9%在俄亥俄州, 2021年5月肯塔基州的支持率为6%. These numbers are all up from between 0 and 1% before the pandemic.[4] 根据麦肯锡的一项研究 & 公司, the average adoption of telehealth across the US and across all disciplines was between 13 and 17%.[5] Indiana, Ohio and Kentucky are behind the national average and Michigan is within the average range. The increased interest by both patient and care provider to utilize telehealth through either a hybrid in-person/telehealth or solely telehealth model means that more people can be reached by providers and may continue the growth of adoption.

另外, the demographics of those adopting telehealth show that younger generations are keener on electronic medical care than older generations.[6] This means that as more people fill out the new generations, there will be more use and demand for telehealth services. So, healthcare providers will need to implement telehealth solutions into their business models. Telehealth solutions may drive innovative ways of utilizing medical office space, which may increase or 减少 the space needed for specific specialty types.

With the increased use and demand for telehealth, commercial real estate professionals are wondering if the amount of square feet needed by practices will increase, 减少, 或者保持不变. 远程医疗不会完全取代, 但会补充, in-person medical care due to the hands-on nature of most medical practices. Not every patient nor provider will want to have their healthcare services conducted via video conference, 电话, 或文本. 另外, not every type of practice is geared toward providing virtual healthcare. There are some instances where patients need to be physically present in a doctor’s office.

A 减少 in the size of a care provider’s space will most likely be an outlier. 在短期内, care providers may reconfigure their office space to suit their needs with less waiting room space and more office and exam room space. Due to the long-term nature of medical office leases, most tenants will likely not be able to downsize their space, so the effects of the outlier downsizing may not be felt until a few years down the road. Some practices may need to increase their square-footage due to the increased number of patients they can reach and the potential of those patients coming in for a physical doctor’s visit. There are industry estimates predicting that there may be a 20% increase by 2030 of total patient volume due to telehealth.[7]

另外, there may be more healthcare providers coming online and needing space to service the clients they generate 通过远程医疗. Totally virtual telehealth providers my find that they want to keep their clients in-house, instead of referring them to another provider with a physical location. Those healthcare providers seeking to refer patients to their physical locations will need to strategically plan what type of spaces they want to own or lease, 这取决于他们的商业模式.

Overall, telehealth makes healthcare more accessible. 更多的可访问性意味着更多的潜在客户. 从长远来看, it looks like telehealth will increase the amount of square feet demanded my medical office tenants to accommodate more clients and physicians.

 

[1] http://reports.chartis.com/telehealth_trends_and_implications-2021/

[2] http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/telehealth-a-quarter-trillion-dollar-post-covid-19-reality

[3] http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/telehealth-a-quarter-trillion-dollar-post-covid-19-reality

[4] http://reports.chartis.com/telehealth_trends_and_implications-2021/

[5] http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/telehealth-a-quarter-trillion-dollar-post-covid-19-reality

[6] http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/telehealth-a-quarter-trillion-dollar-post-covid-19-reality

[7] http://www.globest.com/2021/07/20/breaking-down-telehealths-impact-on-healthcare-cre/

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